Job description

Essential Billing Solutions is looking for a competent Billing Specialist to join our team! We are looking for a career oriented individual, who can work independently & with a team. You will process monthly billing and engage in revenue collection for ABA facilities.

The ideal candidate will be a hard-working professional able to undertake a variety of office support tasks and work diligently under pressure. This person will be comfortable working with a high degree of attention to detail and discretion as well as interact with patients and families in a warm and inviting manner.

We are looking for someone with experience performing medical billing, benefits checks, and authorizations for an outpatient ABA, Speech, and Occupational therapy clinic.

Responsibilities:

• Patient demographic data entry
• Obtaining referrals and pre-authorizations as required for procedures.
• Checking eligibility and benefits verification for treatments, and procedures.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.
• Reviewing accounts for insurance of patient follow-up.
• Researching and appealing denied claims.

Qualifications:

• 2+ years of credentialing/enrollment experience

• 2+ years of experience in ABA billing and collections

• Experience in all aspects of Revenue Cycle Management

• Knowledge of Commercial Insurance and Government Payor guidelines

• Proficient in medical terminology, HIPAA and other critical governmental regulations

• Experience with EDI Clearinghouse i.e Availity

• Proficiency with Google Workspace and spreadsheets; technologically adept

• Ability to work with minimal supervision, use good judgment, meet deadlines, and prioritize workloads.

• Highly organized and detail oriented; strong communication and interpersonal skills

• Customer-service / problem-solving orientation

Job Type: Full-time

Benefits:

• Paid time off

Schedule:

• Monday to Friday

Experience:

• Medical billing: 1 year (Preferred)

Work Location: Remote

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